Minority Health Archive

Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care.

Fiscella, K and Franks, P and Gold, M R and Clancy, C M (2000) Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care. JAMA : the journal of the American Medical Association, 283 (19). pp. 2579-2584. ISSN 0098-7484

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Socioeconomic and racial/ethnic disparities in health care quality have been extensively documented. Recently, the elimination of disparities in health care has become the focus of a national initiative. Yet, there is little effort to monitor and address disparities in health care through organizational quality improvement. After reviewing literature on disparities in health care, we discuss the limitations in existing quality assessment for identifying and addressing these disparities. We propose 5 principles to address these disparities through modifications in quality performance measures: disparities represent a significant quality problem; current data collection efforts are inadequate to identify and address disparities; clinical performance measures should be stratified by race/ethnicity and socioeconomic position for public reporting; population-wide monitoring should incorporate adjustment for race/ethnicity and socioeconomic position; and strategies to adjust payment for race/ethnicity and socioeconomic position should be considered to reflect the known effects of both on morbidity. JAMA. 2000;283:2579-2584

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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: delivery of health care, ethnic groups, health care quality, access, and evaluation, policy perspectives, quality of health care, race, socioeconomic factors
Subjects: Health > Health Equity > Access To Healthcare
Health > Disparities
Health > Policy
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Depositing User: Users 141 not found.
Date Deposited: 31 Jul 2011 16:43
Last Modified: 31 Jul 2011 16:43
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/2934

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